STROKE-SEIZURES

SUMMARY

1. May occur at the time of stroke (2.5% had seizures within 48hrs), within 1-2 weeks or after 2 weeks.

2. Majority of seizures were GTC.

3. Risk factors: older age, cortical lesions (parietal/temporal haemorrhage & ischemic cortical strokes), persistent paresis, confusion.

4. Early seizures (due to acute metabolic derangements) tend not to recur, those occurring > 2 weeks post-stroke recur more often.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].